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Prospective aetiological study of diaper dermatitis in the elderly.
Br J Dermatol. 2006 Nov; 155(5):941-6.BJ

Abstract

BACKGROUND

The different causes of diaper dermatitis (DD) in the elderly are not well known and the treatment is often empirical.

OBJECTIVES

To determine the causes of DD in the elderly and to evaluate the efficacy of antifungal treatments in this indication.

METHODS

Consecutive patients presenting with DD were included. Clinical evaluation, skin swabs for bacterial and mycological cultures, patch testing and skin biopsy were performed at inclusion. This was followed by 1 month of topical antifungal cream and, if needed, by oral fluconazole for the second month.

RESULTS

Forty-six patients were included (mean age 85 years). Causes of DD were established for 38 patients: 24 had candidiasis (63%), six irritant dermatitis (16%), four eczema (11%) and four psoriasis (11%). After 2 months of treatment, 27 of 37 (73%) patients were cured and five of 37 were improved.

CONCLUSIONS

Mycoses and irritant dermatitis are the main causes of DD in the elderly, and emollient skin care and topical antifungal treatment can be considered a first-line therapy for this indication.

Authors+Show Affiliations

Foureur N
Service de Gérontologie V et Consultation de Dermatologie, Hôpital Charles Foix, 7 avenue de la République, 94205 Ivry sur Seine, France.
Vanzo B
No affiliation info available
Meaume S
No affiliation info available
Senet P
No affiliation info available

MeSH

AgedAged, 80 and overAntifungal AgentsCandidiasis, CutaneousDermatitis, IrritantDiaper RashFemaleHumansMaleProspective StudiesPsoriasisTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17034522

Citation

Foureur, N, et al. "Prospective Aetiological Study of Diaper Dermatitis in the Elderly." The British Journal of Dermatology, vol. 155, no. 5, 2006, pp. 941-6.
Foureur N, Vanzo B, Meaume S, et al. Prospective aetiological study of diaper dermatitis in the elderly. Br J Dermatol. 2006;155(5):941-6.
Foureur, N., Vanzo, B., Meaume, S., & Senet, P. (2006). Prospective aetiological study of diaper dermatitis in the elderly. The British Journal of Dermatology, 155(5), 941-6.
Foureur N, et al. Prospective Aetiological Study of Diaper Dermatitis in the Elderly. Br J Dermatol. 2006;155(5):941-6. PubMed PMID: 17034522.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prospective aetiological study of diaper dermatitis in the elderly. AU - Foureur,N, AU - Vanzo,B, AU - Meaume,S, AU - Senet,P, PY - 2006/10/13/pubmed PY - 2007/3/16/medline PY - 2006/10/13/entrez SP - 941 EP - 6 JF - The British journal of dermatology JO - Br J Dermatol VL - 155 IS - 5 N2 - BACKGROUND: The different causes of diaper dermatitis (DD) in the elderly are not well known and the treatment is often empirical. OBJECTIVES: To determine the causes of DD in the elderly and to evaluate the efficacy of antifungal treatments in this indication. METHODS: Consecutive patients presenting with DD were included. Clinical evaluation, skin swabs for bacterial and mycological cultures, patch testing and skin biopsy were performed at inclusion. This was followed by 1 month of topical antifungal cream and, if needed, by oral fluconazole for the second month. RESULTS: Forty-six patients were included (mean age 85 years). Causes of DD were established for 38 patients: 24 had candidiasis (63%), six irritant dermatitis (16%), four eczema (11%) and four psoriasis (11%). After 2 months of treatment, 27 of 37 (73%) patients were cured and five of 37 were improved. CONCLUSIONS: Mycoses and irritant dermatitis are the main causes of DD in the elderly, and emollient skin care and topical antifungal treatment can be considered a first-line therapy for this indication. SN - 0007-0963 UR - https://www.unboundmedicine.com/medline/citation/17034522/Prospective_aetiological_study_of_diaper_dermatitis_in_the_elderly_ DB - PRIME DP - Unbound Medicine ER -